E - CHALLAN

Government of Bihar
BTC - 4

Valid Upto : 02/10/2022 Date : 17/09/2022 11:01:30 PM

GRN : BHR20220900526664E
Department : Revenue and Land Reforms Department
Office Name : Siwan, Bhagwanpur Hatt From :
Financial Year : 2017-2018 To :
Treasury : Siwan :

ACCOUNT HEAD DETAILS PAY AMOUNT

R0029001010001-75-10-Bhu-Lagaan 20.00

R0029001030001-75-42-Bhu-Lagaan- Road Cess 10.34

R0029001030001-75-76-Bhu-Lagaan- Other Cess 14.49

R0029001030001-75-23-Bhu-Lagaan- Education Cess 5.17

Total Amount : Rupees Fifty Only 50.00

PAYER DETAILS
Tax ID (if any) :
Unique Id : ( )
Name : NAJBULLAH ANSARI
Address : L 2ND 128 MADANGIR NEW DELHI 110062

PAYMENT DETAIL FOR USE IN RECEIVING BANK

BANK Name : SBI CIN 00001532022091779351 REF No CPACAYHGB8

Date & Time : 17/09/2022 10:57:31 PM

Branch :
Scroll No & Date :

Cut Here Cut Here Cut Here

BANK NAME SBI Pre Acknowledgement Payment (PAP) for Payment through any branch (BRANCH COPY)

Bank Reference Number CPACAYHGB8 Mode of Payment Cash Cheque/DD

Beneficiary Cash Notes Amount Rs Paise
GRN : BHR20220900526664E 2000 x
Full Name : NAJBULLAH ANSARI 500 x
Amount : 50.00 100 x
50 x

Cheque/DD No : 20 x

Date : 17/09/2022 10:57:31 PM 10 x

Drawee Bank : SBI
Drawee Branch : Total Rs

Branch Stamp Signature of Depositor

Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect